| NPI | 1225372378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA SORIANO MCCUE Financial Administrator 915-307-7612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 251E00000X Home Health |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-01-16 |